84342 Federal Register / Vol. 88, No. 232 / Tuesday, December 5, 2023 / Notices 

disparities in maternal and newborn 

health (families participating in 

MIECHV-funded home visiting 

services). 

Burden Statement: Burden in this 

context means the time expended by 

persons to generate, maintain, retain, 

disclose, or provide the information 

requested. This includes the time 

needed to review instructions; to 

develop, acquire, install, and utilize 

technology and systems for the purpose 

of collecting, validating, and verifying 

information, processing and 

maintaining information, and disclosing 

and providing information; to train 

personnel and to be able to respond to 

a collection of information; to search 

data sources; to complete and review 

the collection of information; and to 

transmit or otherwise disclose the 

information. The total annual burden 

hours estimated for this ICR are 

summarized in the table below. 

TOTAL ESTIMATED ANNUALIZED BURDEN HOURS 1

Form name Number of 

respondents 

Number of 

responses per 

respondent 

Total 

responses 

Average 

burden per 

response 

(in hours) 

Total burden 

hours 

Request for Information about LIAs ..................................... 28 1 28 0.25 7 

LIA and Family Nomination Form ........................................ 70 1 70 2.00 140 

Family Online Survey ........................................................... 210 1 210 0.50 105 

Family Focus Group Protocol .............................................. 52 1 52 1.00 52 

Home Visitor Group Interview Protocol ............................... 10 1 10 1.00 10 

LIA Leadership Interview Protocol ....................................... 6 1 6 1.00 6 

Family Case Study Focus Group Protocol .......................... 12 1 12 1.00 12 

Total .............................................................................. 388 ........................ 388 ........................ 332 

1There may be variation in the number of study participants (e.g., some programs may have fewer home visitors). The total burden hours presented here provide information assuming the maximum number of respondents in each community. 

HRSA specifically requests comments 

on (1) the necessity and utility of the 

proposed information collection for the 

proper performance of the agency’s 

functions, (2) the accuracy of the 

estimated burden, (3) ways to enhance 

the quality, utility, and clarity of the 

information to be collected, and (4) the 

use of automated collection techniques 

or other forms of information 

technology to minimize the information 

collection burden. 

Maria G. Button, 

Director, Executive Secretariat. 

[FR Doc. 2023–26580 Filed 12–4–23; 8:45 am] 

BILLING CODE 4165–15–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Health Resources and Services 

Administration 

Agency Information Collection 

Activities: Proposed Collection: Public 

Comment Request; Information 

Collection Request Title: Assessing 

the Use of Coaching To Promote 

Positive Caregiver-Child Interactions in 

Home Visiting 

AGENCY: Health Resources and Services 

Administration (HRSA), Department of 

Health and Human Services. 

ACTION: Notice. 

SUMMARY: In compliance with the 

requirement for opportunity for public 

comment on proposed data collection 

projects of the Paperwork Reduction Act 

of 1995, HRSA announces plans to 

submit an Information Collection 

Request (ICR), described below, to the 

Office of Management and Budget 

(OMB). Prior to submitting the ICR to 

OMB, HRSA seeks comments from the 

public regarding the burden estimate, 

below, or any other aspect of the ICR. 

DATES: Comments on this ICR should be 

received no later than February 5, 2024. 

ADDRESSES: Submit your comments to 

paperwork@hrsa.gov or mail the HRSA 

Information Collection Clearance 

Officer, Room 14N39, 5600 Fishers 

Lane, Rockville, Maryland 20857. 

FOR FURTHER INFORMATION CONTACT: To 

request more information on the 

proposed project or to obtain a copy of 

the data collection plans and draft 

instruments, email paperwork@hrsa.gov 

or call Joella Roland, the HRSA 

Information Collection Clearance 

Officer, at (301) 443–3983. 

SUPPLEMENTARY INFORMATION: When 

submitting comments or requesting 

information, please include the ICR title 

for reference. 

Information Collection Request Title: 

Assessing the Use of Coaching to 

Promote Positive Caregiver-Child 

Interactions in Home Visiting OMB No. 

0906–xxxx—[New] 

Abstract: The Maternal, Infant, and 

Early Childhood Home Visiting 

(MIECHV) Program, authorized by the 

Social Security Act, title V, § 511 (42 

U.S.C. 711) and administered by HRSA 

in partnership with the Administration 

for Children and Families, supports 

voluntary, evidence-based home visiting 

services during pregnancy and for 

parents with young children up to 

kindergarten entry. States, tribal 

entities, and certain nonprofit 

organizations are eligible to receive 

funding from the MIECHV Program and 

have the flexibility to tailor the program 

to serve the specific needs of their 

communities. Funding recipients may 

subaward grant funds to local 

implementing agencies to provide home 

visiting services to eligible families in 

at-risk communities. 

This information collection is part of 

the Assessing and Describing Practice 

Transitions Among Evidence-Based 

Home Visiting Programs in Response to 

the COVID–19 Public Health Emergency 

Study. This study aims to identify and 

study practices implemented in 

response to the COVID–19 public health 

emergency that support evidence-based 

practice and have the potential to 

enhance home visiting programming. 

One of the practices the study identified 

is the use of coaching to promote 

caregiver-child interactions and positive 

caregiving skills. Coaching involves a 

home visitor providing instructions to 

the parent or caregiver as they carry out 

the skill and differs from a common 

home visiting strategy modeling in 

which home visitors first demonstrate a 

skill themselves before asking the parent 

or caregiver to try it. The purpose of this 

information collection is to better 

understand, through rapid cycle 

learning, how MIECHV-funded home 

visiting programs can implement 

coaching strategies during home visits. 

Information will be collected in four 

phases designed to (1) define coaching 

strategies (co-definition phase); (2) 


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Federal Register / Vol. 88, No. 232 / Tuesday, December 5, 2023 / Notices 84343 

identify potential refinements to 

improve coaching strategies (installation 

phase); (3) iteratively test the 

refinements (refinement phase); and (4) 

assess the potential of coaching 

strategies to improve service delivery 

and promote family engagement and 

family satisfaction with home visiting 

programs (summary phase). Data 

collection activities include focus 

groups, online questionnaires, and 

review of documents and administrative 

data. 

Need and Proposed Use of the 

Information: The COVID–19 public 

health emergency led the MIECHV 

Program to rapidly adjust practices, 

within the bounds of evidence-based 

home visiting model guidance, to 

reduce service delivery disruptions 

while protecting the health and safety of 

home visiting participants and the home 

visiting workforce. Largely prompted by 

the shift to virtual home visits, one of 

these practice changes was to use 

coaching to promote positive caregiving 

skills and family-child interactions. 

Home visitors suggested that using 

coaching strategies enhanced the way 

that home visitors worked with families, 

particularly in virtual settings when 

home visitors were unable to use 

modeling strategies (e.g., in-person 

demonstrations by home visitors). Some 

findings indicate that home visitors who 

used coaching perceived that it led to 

improved family engagement and 

caregiver confidence in interacting with 

their child. However, other findings 

suggest that some families may not 

prefer coaching over modeling and that 

coaching may create a burden on home 

visitors. As home visitors transition 

back to primarily in-person home visits, 

there is a need for more information 

about strategies to support the 

implementation of coaching to 

effectively promote positive caregiverchild interactions in virtual and inperson settings, while reducing home 

visitor burden and increasing family 

acceptance of this strategy. HRSA 

intends to use the information collected 

to provide evidence-informed resources 

and strategies that MIECHV awardees 

can use to inform their use of coaching 

strategies to strengthen home visiting 

services. 

Likely Respondents: Respondents 

include families who receive home 

visiting services and MIECHV-funded 

home visiting program staff, which may 

include program directors, managers, 

supervisors, and home visitors. 

Burden Statement: Burden in this 

context means the time expended by 

persons to generate, maintain, retain, 

disclose, or provide the information 

requested. This includes the time 

needed to review instructions; to 

develop, acquire, install, and utilize 

technology and systems for the purpose 

of collecting, validating, and verifying 

information, processing and 

maintaining information, and disclosing 

and providing information; to train 

personnel and to be able to respond to 

a collection of information; to search 

data sources; to complete and review 

the collection of information; and to 

transmit or otherwise disclose the 

information. The total annual burden 

hours estimated for this ICR are 

summarized in the table below. 

TOTAL ESTIMATED ANNUALIZED BURDEN HOURS

Form name Number of 

respondents 

Number of 

responses per 

respondent 

Total 

responses 

Average 

burden per 

response 

(in hours) 

Total burden 

hours 

Program Eligibility Protocol ...................................................... 16 1 16 1.00 16.0 

Program Staff Focus Group Protocol 1 (Co-definition Phase) 24 1 24 1.50 36.0 

Program Staff Focus Group Protocol 2 (Co-definition Phase) 24 1 24 1.50 36.0 

Program Staff Focus Group Protocol (Installation & Refinement Phases) ....................................................................... 24 3 72 1.00 72.0 

Program Staff Focus Group Protocol (Summary Phase) ........ 24 1 24 1.00 24.0 

Family Focus Group Protocol (Co-definition & Summary 

Phases) ................................................................................ 48 1 48 1.00 48.0 

Home Visitor Questionnaire (Installation & Refinement 

Phases) ................................................................................ 40 9 360 0.17 61.2 

Family Post-Visit Questionnaire (Refinement Phase) ............. 48 6 288 0.08 23.0 

Focus Group Participant Characteristics Form (All Phases) ... 120 1 120 0.08 9.6 

Total .................................................................................. 368 ........................ 976 ........................ 325.8 

HRSA specifically requests comments 

on (1) the necessity and utility of the 

proposed information collection for the 

proper performance of the agency’s 

functions; (2) the accuracy of the 

estimated burden; (3) ways to enhance 

the quality, utility, and clarity of the 

information to be collected; and (4) the 

use of automated collection techniques 

or other forms of information 

technology to minimize the information 

collection burden. 

Maria G. Button, 

Director, Executive Secretariat. 

[FR Doc. 2023–26581 Filed 12–4–23; 8:45 am] 

BILLING CODE 4165–15–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Health Resources and Services 

Administration 

Agency Information Collection 

Activities: Proposed Collection: Public 

Comment Request; Information 

Collection Request Title: Assessing 

the Use of Informal Contacts To 

Promote Caregivers’ Engagement and 

Satisfaction With Home Visiting 

AGENCY: Health Resources and Services 

Administration (HRSA), Department of 

Health and Human Services. 

ACTION: Notice. 

SUMMARY: In compliance with the 

requirement for opportunity for public 

comment on proposed data collection 

projects of the Paperwork Reduction Act 

of 1995, HRSA announces plans to 

submit an Information Collection 

Request (ICR), described below, to the 

Office of Management and Budget 

(OMB). Prior to submitting the ICR to 

OMB, HRSA seeks comments from the 

public regarding the burden estimate, 

below, or any other aspect of the ICR. 

DATES: Comments on this ICR should be 

received no later than February 5, 2024. 

ADDRESSES: Submit your comments to 

paperwork@hrsa.gov or mail the HRSA 

Information Collection Clearance 


khammond on DSKJM1Z7X2PROD with NOTICES